JAMA Network Open: Outcomes Associated With Hospital at Home vs Traditional Inpatient Stay In this research study of 15 871 Medicare beneficiaries (4174 hospital at home and 11 697 traditional inpatient admissions), hospital at home was associated with significantly lower in-hospital mortality and emergency department use within 30 days of index admission discharge. Findings suggest that [...]
Annals of Internal Medicine: Early Uptake of the Acute Hospital Care at Home Waiver Hospital at home (HaH) provides acute hospital-level care in a patient's home as a substitute for traditional inpatient hospital care. Despite a robust evidence base, dissemination of HaH has been limited. One important barrier to scaling HaH has been the [...]
Avalere – Home Care Services Reduce Medicare Spending for 30 Chronic Conditions Demonstrating a positive impact on clinical and economic outcomes has been a long-standing challenge for the home care industry due to fragmented care standards across states, the lack of standardized measures in personal care, and limited access to claims data that would [...]
Health Affairs: Outcomes After Shortened Skilled Nursing Facility Stays Suggest Potential for Improving Post Acute Care Efficiency Reducing postacute care in skilled nursing facilities (SNFs) in favor of home-based care is a leading cost-saving strategy in new payment models. Marked reductions in length-of-stay because of cost sharing shifted patients to home more than a [...]
JAMA: Pandemic Boosts an Old Idea—Bringing Acute Care to the Patient The ability to treat patients at home for common conditions—heart failure, chronic obstructive pulmonary disease (COPD), asthma, and uncomplicated infections such as cellulitis, for example—has been a tool to expand capacity during the pandemic. But research also suggests that providing acute care at [...]
Journal of the American Geriatrics Society: Hospital at Home Services: An Inventory of Fee-for-Service Payments to Inform Medicare Reimbursement Hospital at Home (HaH) is a growing model of care with proven patient benefits. However, for the types of services required to provide an episode of HaH, full Medicare reimbursement is traditionally paid only if [...]
Health Affairs: In Traditional Medicare, Modest Growth In The Home Care Workforce Largely Driven By Nurse Practitioners Little is known about the characteristics of the workforce providing home-based medical care for traditional (fee-for-service) Medicare beneficiaries. This study found that the number of participating home care providers in traditional Medicare increased from about 14,100 in [...]
The Gerontologist – Acute, Post-acute, and Primary Care Utilization in a Home-Based Primary Care Program During COVID-19: (February, 2021) – Changes in care utilization by persons in advanced illness management (AIM) programs demonstrate decreased acute and post-acute utilization, while maintaining high levels of connectedness among a cohort of homebound older adults during the COVID-19 pandemic compared with [...]
CJASN – The Mobile Health Readiness of People Receiving In-Center Hemodialysis and Home Dialysis A study of nearly 1,000 patients examined the status and correlates of mobile health readiness among individuals on dialysis. The study found 81 percent of respondents owned smartphones or other internet-capable devices, and 70 percent reported intermediate or advanced mobile health proficiency. The results [...]
An Integrated Mobile Acute Care Service Enhances Value A study on DispatchHealth’s ER model in the home with Baystate Health. In-home mobile care for high-acuity illness can prevent unnecessary ED and hospital use for some patients and is associated with high patient satisfaction. Acute mobile care is a useful component of a value-based care strategy.